Provider Demographics
NPI:1639380140
Name:SEESE, DENNIS R (DC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:R
Last Name:SEESE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11730 SE US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:BELLEVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:34420-4560
Mailing Address - Country:US
Mailing Address - Phone:352-245-0145
Mailing Address - Fax:352-245-1512
Practice Address - Street 1:11730 SE US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-4560
Practice Address - Country:US
Practice Address - Phone:352-245-0145
Practice Address - Fax:352-245-1512
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88211AMedicare PIN
FL88211ZMedicare PIN